Protocol: developing a conceptual framework of patient mediated knowledge translation, systematic review using a realist approach

被引:12
作者
Gagliardi, Anna R. [1 ,2 ,3 ]
Legare, France [4 ]
Brouwers, Melissa C. [5 ]
Webster, Fiona [6 ]
Wiljer, David [7 ]
Badley, Elizabeth [8 ]
Straus, Sharon [9 ]
机构
[1] Univ Toronto, Dept Hlth Policy, Toronto, ON, Canada
[2] Univ Toronto, Dept Management, Toronto, ON, Canada
[3] Univ Toronto, Dept Evaluat, Toronto, ON, Canada
[4] Univ Quebec, Univ Laval Ctr Hosp, Dept Family Med, Quebec City, PQ, Canada
[5] McMaster Univ, Dept Clin Epidemiol & Biostat, Dept Oncol, Hamilton, ON, Canada
[6] Sunnybrook Hlth Sci Ctr, Holland Orthopaed & Arthrit Ctr, Toronto, ON M4N 3M5, Canada
[7] Univ Toronto, Fac Med, Univ Hlth Network, Dept Radiat Oncol, Toronto, ON, Canada
[8] Univ Hlth Network, Dept Hlth Care & Outcomes Res & Epidemiol, Toronto, ON, Canada
[9] Univ Toronto, Dept Med, Toronto, ON, Canada
基金
加拿大健康研究院;
关键词
SELF-MANAGEMENT; EDUCATION;
D O I
10.1186/1748-5908-6-25
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Patient involvement in healthcare represents the means by which to achieve a healthcare system that is responsive to patient needs and values. Characterization and evaluation of strategies for involving patients in their healthcare may benefit from a knowledge translation (KT) approach. The purpose of this knowledge synthesis is to develop a conceptual framework for patient-mediated KT interventions. Methods: A preliminary conceptual framework for patient-mediated KT interventions was compiled to describe intended purpose, recipients, delivery context, intervention, and outcomes. A realist review will be conducted in consultation with stakeholders from the arthritis and cancer fields to explore how these interventions work, for whom, and in what contexts. To identify patient-mediated KT interventions in these fields, we will search MEDLINE, the Cochrane Library, and EMBASE from 1995 to 2010; scan references of all eligible studies; and examine five years of tables of contents for journals likely to publish quantitative or qualitative studies that focus on developing, implementing, or evaluating patient-mediated KT interventions. Screening and data collection will be performed independently by two individuals. Conclusions: The conceptual framework of patient-mediated KT options and outcomes could be used by healthcare providers, managers, educationalists, patient advocates, and policy makers to guide program planning, service delivery, and quality improvement and by us and other researchers to evaluate existing interventions or develop new interventions. By raising awareness of options for involving patients in improving their own care, outcomes based on using a KT approach may lead to greater patient-centred care delivery and improved healthcare outcomes.
引用
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页数:5
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